- BrightSpring Health Services (Gainesville, FL)
- …relations with staff and management + Inform operations of worker's compensation claims process. Assist as needed with claim processing . Keep supervisors ... is focused on maintaining local compliance with state, federal, and BrightSpring Health requirements. The HR Specialist should have a full understanding of the… more
- City of Lakeland (Lakeland, FL)
- …loss prevention, and wellness initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management ... state and federal agencies dealing with insurance, safety, and health and wellness. + Monitors all claims ...providing a forum for discussion and adjustment of the processing of all insurance and self-insured claims … more
- Arnot Health (Elmira, NY)
- …the patient's chart and prepare C-4 forms for billing on Worker's Compensation claims . 5. When Billing Department prints C-4's checks them for accuracy and forwards ... medical record and original is sent to billing for processing . Other: 1. Assists Administrator, physician(s), nurse(s) and other...provide a secure and pleasant experience with the Arnot Health . 5. It is understood that this lists typical… more
- Providence (Tukwila, WA)
- …in health care or pharmacy billing, collections or medical claims processing . **Preferred Qualifications:** + Bachelor's Degree in Business, Healthcare ... hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New...New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing… more
- Queen's Health System (Honolulu, HI)
- …highly desirable. B. EXPERIENCE: * One (1) year experience in medical insurance claims processing or billing. An Associate's or Bachelor's degree in business ... (QMC) and in compliance with federal, state, insurance carriers, health plans and other third party payor requirements. *...substituted for one (1) year experience in medical insurance claims processing or billing. * Prior recent… more
- Health Care Service Corporation (Chicago, IL)
- …*Extensive knowledge of provider and facility contracting, products, and claims / processing systems. *Negotiation skills. *Relationship building skills. ... department regarding the delegated entity reporting requirements to include claims delegation, utilization management delegation and credentialing delegation.8.Respond to… more
- Molina Healthcare (Spokane, WA)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- CDPHP (Latham, NY)
- …in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to ... the completion of the necessary activities related to the processing of incoming mail for the entire organization, as...mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with… more
- MyFlorida (Bunnell, FL)
- … processing Medicaid HMO's, Medicare and third party/commercial insurance claims . Responsible for reviewing insurance web portals for eligibility, deductibles, ... extensive knowledge of insurance web-portals, ability to understand clients coverage, process claims and work denials. Florida Department of Health Mission,… more
- Molina Healthcare (Omaha, NE)
- …payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is ... in the implementation and conversion of new and existing health plans. + Must have experience in Contracts configuration...**Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims … more